Membership Application


MEMBERSHIP APPLICATION PROCEDURE


1. Download application form Word Document (Click here to Download WORD File)

2. Print out the form and fill it.

3. Fill in the name of 2 people (Proposer and Seconder) who must be  current INDSPN members.

4. Include the following with the Application Form

        A.Membership Payment

  • A Cheque for the appropriate amount, according to membership type (AT PAR) to be made in favour of  “INDIAN SOCIETY FOR PEDIATRIC NEUROSURGERY”. (If not “AT PAR”   Cheque, please add Rs 50 as Outstation bank charges)

  • Bank Transfer:

            A/c No.                 04852010030992    
            AC. Name:            Indian Society For Pediatric Neurosurgery
            Bank :                   SYNDICATE BANK -
            Account Type:     SAVINGS ACCOUNT
            Branch:                PRABHADEVI, MUMBAI
            IFSC Code:          SYNB0005038 - (used for RTGS, IMPS and NEFT transactions)
           
           Branch Address: RAJAN HOUSE, GROUND FLOOR, KAKA SAHEB MARATHE MARG,  PRABHADEVI MUMBAI 25        
           District: GREATER BOMBAY
           State: MAHARASHTRA
           Phone: 022-24223040, 022-24223368
           MICR Code:      400025034

        B. A copy of your UG and PG  certificates

        C. 2 recent passport size photos.

5. ADMISSION / MEMBERSHIP  FEES       



Residing in India

Residing Abroad




LIFE MEMBER

INR 5000

US $200

ASSOCIATE MEMBER (LIFE TIME)

INR 4000


ASSOCIATE MEMBER (Annual)

INR  400


6. Please  Courier it to the Secretary at the following  address:

     Prof (Dr.) Deepak Gupta
    Secretary - IndSPN
    Professor of Neurosurgery, Neurosciences Centre & Assoc.
    All India Institute of Medical Sciences (AIIMS)
    New Delhi 110029.
    India.
    If the payment by Bank Transfer, please enclose the Transaction Number, Amount

7.  Send an SMS to the Secretary on the following mobile No.: +919811882710 to enable him to look out for the same. Also please email indspn.office@gmail.com for any help

8. After verification, the application will be forwarded to the General Body for approval at the next Meeting usually at the Annual Conference.